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Contact Information

RANDY S COSHATT, OD
112 5TH ST NE
ALICEVILLE, AL35442-2200
 Phone: 205-373-6374
 Fax: 205-373-6163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RANDY S COSHATT · (Male)

NPI Number 1932103652
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/09/2005
Last updated 11/24/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # S-375-TA-023
  • AL Medicaid 000059452
  • Other 0275270001 CIGNA GOVERNMENT SERVICES
  • Other 0275270001 DMEPOS
  • AL Other 51059452 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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